Individual
LEHNI WICKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
5125 W OLIVE AVE, GLENDALE, AZ 85302-4204
(623) 931-0882
Mailing address
20707 N 67TH AVE APT 247, GLENDALE, AZ 85308-6691
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S020704
AZ
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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